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Time In.�— <br /> Time Out: <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 4 Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> z/'saww <br /> Food Program Complaint Inspection Report <br /> Name of Facility: JACK IN THE BOX #4301 Date: 09/28/2016 <br /> Address: 2425 W KETTLEMAN LN, LODI 95242 <br /> Owner/Operator: ANIL YADAZ Telephone (209) 334-3875 <br /> Program Element: 'p ^ Fr?ODfc' "V I Complaint#: C00042282 <br /> DESCRIPTION OF COMPLAINT ALLEGATIONS <br /> The San Joaquin County Environmental Health Department received the following complaint: <br /> COMPLAINANT ALLEGES THAT ON 9/21/2016 AT APPROXIMATELY 8:19 PM THEY WENT THROUGH THE DRIVE <br /> THROUGH AND ORDERED TWO CHICKEN SANDWICHES. COMPLAINANT STATED THAT ONE OF THE CHICKEN <br /> SANDWICHES HAD A LIVE WORM BETWEEN THE LETTUCE AND THE CHICKEN PATTY <br /> VIIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7 <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public <br /> health and have the potential to cause foodborne illness-All major violations must be corrected immediateN. Noncompliance may warrant immediate <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM-LOCATION--TEMP°F--COMMENs�- <br /> 4v Temperature Data Collected <br /> NOTES <br /> I spoke to Person In Charge who was notar <br /> Whole boxed lettuce is received Tuesdays ar <br /> Once received, boxed lettuce is placed in wa <br /> Lettuce is prepped by removing wilted dirty le }—� )rep sink. <br /> Lettuce is then taken out and cut fourths. J v C� <br /> Lettuce is placed in plastic containers with Ii( / 7 1 ( 24hours. <br /> Lettuce is brought to prep line as needed. <br /> I observed a container of lettuce in walk-in a lf✓VVl S of observe worms at this time. <br /> coJU <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: pawandeeo <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0012662 000042282 SCO04 09/28/2016 <br /> EHD 1623 Rev.06/3415 Page 1 of 1 Food Program Complaint Inspection Report <br />